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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fever And Pneumonia

My wife was diagnosed with Pneumonia last Sunday and was given strong antibiotics and cough meds. She has been having some spells with coughing still and occasional low grade fever. She has RA, Fibromyalgia, and weakened immune system. Her primary doctor misdiagnosed her two days prior to me taking her to a Doc in the Box and her receiving xrays and blood work. Does she need to go to the ER or wait another day? What are the chances of her being admitted?
Thu, 13 Aug 2015
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
In my opinion, you should immediately consult to emergency room and get done repeat chest x ray.
She is still having cough and fever spikes despite of higher antibiotics. This suggests worsening of pneumonia.
And hence chest x ray is needed.
If x ray is suggestive of worsening than she needs broncoscopy with BAL (bronchoalveolar lavage) analysis like culture and sensitivity.
Culture report will isolate the causative organism and sensitivity report will guide about appropriate effective antibiotic treatment.
By this, we can fasten the recovery and improvement.
So consult emergency room and discuss all these.
Hope I have solved your query. Wishing good health to your wife. Thanks.
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Suggest Treatment For Fever And Pneumonia

Thanks for your question on Health Care Magic. In my opinion, you should immediately consult to emergency room and get done repeat chest x ray. She is still having cough and fever spikes despite of higher antibiotics. This suggests worsening of pneumonia. And hence chest x ray is needed. If x ray is suggestive of worsening than she needs broncoscopy with BAL (bronchoalveolar lavage) analysis like culture and sensitivity. Culture report will isolate the causative organism and sensitivity report will guide about appropriate effective antibiotic treatment. By this, we can fasten the recovery and improvement. So consult emergency room and discuss all these. Hope I have solved your query. Wishing good health to your wife. Thanks.